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Online Resumes with "pre cert"



Registered Nurse - 25 Years of Experience - Near 33023

Registered nurse position in a health care setting. Dedicated healthcare professional with 25 years of practical experience in a fast paced hospital setting, knowledge of home health, case management, disease management, pre-cert/prior-authorization, and experience with medically fragile individuals.

Tags for this Online Resume: case management, disease management, prior-auth, Interqual

Revenue Reimbursement Specialist - 9 Years of Experience - Near 77433

I have 22 plus years overall experience within the healthcare industry inclusive of: Manager/Supervisory of 3 medical records divisions, supervision of registration/scheduling/pre-cert co-coordinators/ collections, 3rd party insurance and aid in patient billing concerns for Markey Cancer Center and Affiliate Network, as well as Emergency Room Services /Ambulatory Services within University of Kentucky. I have a solid back...

Tags for this Online Resume: Revenue Reimbursement, Outpatient Coder, Registration supervisor, Scheduling Supervisor, Call Center Management, Collections, Revenue Management, Pre Cert/Insurance

Licensed Nurse - 20 Years of Experience - Near 08060

Tags for this Online Resume: medical record reviewer, Outcomes Analyst, Utilization Reveiw, Pre-Certification Nurse, CORE Measures

Certified Medical Assistant- 10 years in various areas

Effective Medical Assistant with the ability to readily adapt to changing environments and demands. Patient-focused and detailed oriented with over 10 years experience working in fast-paced medical offices and working with diverse population

Tags for this Online Resume: Next Gen, EMR, Power Point, Microsoft Word, MIcrosoft Office , Excel, Prior Authorization, Referrals, Pre-Cert, Insurance Verification

Medical or Health Services Manager - 20 Years of Experience - Near 33534

SUMMARY * 15+ years' experience as a clinical professional with a broad range of healthcare experience, talent and expertise also in Medicaid claims reviews programs * Extensive nursing experience in multiple areas (Utilization Review/Managed Care including Inpatient/Outpatient service for Pre-Cert, Concurrent Review, Case Management, Medical Claim/Bill Review, ICD-9/ICD-10 Coding, Hedis Reviews, Home Health Care, School Nu...

Tags for this Online Resume: Medicare, Computer Aided Software Engineering, Management, Injections, Insurance, VITAL SIGNS, Medication Administration, Nursing, Wound Care, D.O.D., Case Manager, Billing, Coding, Auditing, Utilization Review, Manager, Supervisor, Health Services, Nurse, LPN, Trainer

Program/Project Manager - 20 Years of Experience - Near 66062

Summary * 20+ years of applicable experience (Project Management, Network Management, Implementation Engineering) managing IT Infrastructure build out, Network Refresh and Software Development Projects (SDLC), using Agile, Scrum and RAD project teams providing direction and leadership. * Project Management experience, managing custom software development projects. (Java, C, C+, SQL and Oracle based Applications). * Experien...

Tags for this Online Resume: Routers, Infrastructure, Management, Oracle, SDLC, Software, Software Development, Voice, Wireless, AVAYA

Project Managers - 20 Years of Experience - Near 66062

Summary * Implemented IT strategy consistent with individual business unit goals and departmental direction * Participated in the creation of technical teams Lead and mentor staff and provide learning and development opportunities by sharing Subject Matter Expertise * Provided 24x7 support on production Web, database and application servers maintain an agreed upon response time for any incident and perform system maintenanc...

Ideal Companies: Sprint, ATT, Verizon

Tags for this Online Resume: Routers, Infrastructure, Management, Monitoring, Oracle, SDLC, Software, Software Development, Voice, Wireless

Bill & Account Collector - 20 Years of Experience - Near 38053

Tags for this Online Resume: Coding, Insurance, Medical, Venipuncture, Scheduling, Complaints, Pyxis, Billing, BLS, Certified Pension Consultant